Individual
KATE ELIZABETH MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-9024
Mailing address
14 PARK ST, NEW BREMEN, OH 45869-1222
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN.370834
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.18777-NP
OH
Other
Enumeration date
12/04/2015
Last updated
02/11/2016
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